Social anxiety disorder (SAD) models posit vigilance for external social threat cues and exacerbated self-focused attention as key in disorder development and maintenance. Evidence indicates a modified dot-probe protocol may reduce symptoms of SAD; however, the efficacy when compared to a standard protocol and long-term maintenance of treatment gains remains unclear. Furthermore, the efficacy of such protocols on SAD-related constructs remains relatively unknown. The current investigation clarified these associations using a randomized control trial replicating and extending previous research. Participants with SAD (n = 113; 71% women) were randomized to complete a standard (i.e. control) or modified (i.e. active) dot-probe protocol consisting of 15-min sessions twice weekly for four weeks. Self-reported symptoms were measured at baseline, post-treatment, and 4-month and 8-month follow-ups. Hierarchical linear modeling indicated significant self-reported reductions in symptoms of social anxiety, fear of negative evaluation, trait anxiety, and depression, but no such reductions in fear of positive evaluation. Symptom changes did not differ based on condition and were maintained at 8-month follow-up. Attentional biases during the dot-probe task were not related to symptom change. Overall, our results replicate support for the efficacy of both protocols in reducing symptoms of SAD and specific related constructs, and suggest a role of exposure, expectancy, or practice effects, rather than attention modification, in effecting such reductions. The current results also support distinct relationships between fears of negative and positive evaluation and social anxiety. Further research focused on identifying the mechanisms of change in attention modification protocols appears warranted.
Read the full paper: Carleton, R. N., Teale Sapach, M. J., Oriet, C., & LeBouthillier, D. M. (2017). Online attention modification for social anxiety disorder: replication of a randomized controlled trial. Cognitive Behaviour Therapy, 46(1), 44-59. http://dx.doi.org/10.1080/16506073.2016.1214173
Photo by: Kevin Dooley


As the costs of residential solar photovoltaic (PV) systems fall and installations rise, developers and investors face new regulatory hurdles. Registration as a qualifying facility (QF) under the Public Utility Regulatory Policy Act (PURPA) recently has become a common subject of concern among both developers and tax equity investors. Developers are working to determine whether they are triggering compliance obligations, and investors are asking whether they have to register by virtue of their ownership interests. One solar developer, SunRun Inc., is seeking clarity at the Federal Energy Regulatory Commission (FERC).
PURPA, among other things, grants generators that meet the eligibility requirements for QF status an exemption from most regulations under the Public Utility Holding Company Act of 2005, the Federal Power Act, and state laws respecting the regulation of utilities. Under FERC’s regulations, the owner or operator of a QF with a net power production capacity greater than 1 megawatt (MW) must either submit a self-certification to FERC or file an application for certification. QFs under the 1 MW threshold are exempt from FERC’s filing requirement. The complication for residential solar developers comes in determining whether the 1 MW threshold has been met.
FERC calculates the size of a facility by examining its power production capacity together with the capacity of any other facilities that use the same energy source, are owned by the same person(s) or its affiliates, and are located at the same site. FERC considers facilities “at the same site” if they are located within one mile of each other. If multiple facilities located within a one-mile radius are owned by the same person or its affiliates, their capacities will be aggregated for PURPA purposes.
FERC’s capacity aggregation rule leads to problems for solar developers, particularly developers of residential PV systems. As developers install tens or hundreds of thousands of small PV systems, it becomes increasingly difficult to determine whether a developer owns or operates more than 1 MW of aggregated capacity within a one-mile radius. This is particularly true in high concentration areas like California. Additionally, tax equity investors are concerned that they may own more than 1 MW of capacity within one mile and be required to register with FERC. Tax equity investors generally do not have the means to track such thresholds, relying instead on the developer – and developers rarely track capacity between portfolios – so investors are put at risk of violating PURPA unknowingly.
In September, SunRun filed a petition at FERC in Docket No. EL18-205 seeking a waiver of the QF filing requirements for residential solar PV systems, irrespective of whether such systems aggregate to over 1 MW within a mile. The waiver request is limited to solar PV systems (and accompanying battery systems) of 20 kilowatts or less that are located on the property of a residential homeowner. According to SunRun, the waiver would apply to over 150,000 systems within its portfolio totaling 1,106 MW of capacity. SunRun argues that without the waiver, the QF self-certification would be unduly burdensome for developers and would result in voluminous and unhelpful information for FERC. While several parties filed comments asking that FERC address PURPA issues in a more generic proceeding, no one has strictly opposed SunRun’s requested waiver. FERC is likely to act on the petition by spring of 2019.
If FERC grants the requested waiver, it will alleviate compliance concerns for residential solar developers and tax equity investors. However, it will not apply to all solar PV systems, and developers and investors will still need to track the concentration of larger systems. Additionally, it may lead to implementation questions, such as how to address a situation where a developer owns a larger commercial-scale solar project located within one mile of smaller residential-scale projects that in the aggregate surpass the 1 MW threshold. SunRun’s petition is not the end of PURPA compliance questions, but it is a good place to start.


David Schuler, superintendent of High School District 214, shares five must-have tools to hire and develop effective teachers
I also serve as past president of the Suburban School Superintendents Association and as president-elect of the American Association of School Administrators, where I am honored and privileged to serve superintendent colleagues across the country and Canada.
A common goal among educational leaders is to increase student achievement. A critical piece of attaining that goal is to recruit, retain, and cultivate an excellent teaching staff. The tools described here are uniquely designed to find, hire, and develop effective teachers—giving students the best opportunity to learn and succeed in this ever-changing global economy.
TeacherMatch Educators Professional Inventory (EPI)
It can be challenging to identify teacher candidates who will positively impact student achievement, especially early in the hiring process. TeacherMatch’s EPI offers predictive data to support and improve hiring decisions. Backed by substantial research and powerful organizations in education research like the Northwest Evaluation Association, TeacherMatch has created a hiring tool that assesses teacher candidates in four main areas: teaching skills, qualifications, cognitive ability, and attitudinal factors. The platform is easy to use, and it integrates with most HR platforms. We have found the EPI assessment to be incredibly insightful and essential in making informed decisions as part of our hiring process.
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Next page: Four more tech tools for hiring and developing effective teachers) K-12 cybersecurity vendors: Is the threat already in your house? - December 6, 2022 3 ways to bring teacher PD into the 21st century - December 5, 2022 Research points to a widening academic divide - December 5, 2022


Employment is not enough to get you out of poverty in Nigeria. Many Nigerians are working
poor. In some cases, the more they work, the poorer they get. and
To understand the scale of the situation, let's start by understanding poverty and how it is measured.
Poverty is multidimensional; but to put it simply, it is one's inability to meet their basic needs and wants. So, food, shelter, clothing, primary education and sanitation—are collectively referred to as welfare. When an individual cannot afford these needs, the person is considered poor. The lack of access to these needs and wants can be monetary or non-monetary. It's monetary when the person does not have the money to afford these things and non-monetary when non-financial barriers prevent you from accessing these needs, like geographical limitations, culture and more.
For the sake of this article, we'll focus on just the monetary aspect.


Biologically indeterminate yet ordered promiscuous gene expression in single medullary thymic epithelial cells. Dhalla F., Baran-Gale J., Maio S., Chappell L., Holländer GA., Ponting CP.
To induce central T-cell tolerance, medullary thymic epithelial cells (mTEC) collectively express most protein-coding genes, thereby presenting an extensive library of tissue-restricted antigens (TRAs). To resolve mTEC diversity and whether promiscuous gene expression (PGE) is stochastic or coordinated, we sequenced transcriptomes of 6,894 single mTEC, enriching for 1,795 rare cells expressing either of two TRAs, TSPAN8 or GP2. Transcriptional heterogeneity allowed partitioning of mTEC into 15 reproducible subpopulations representing distinct maturational trajectories, stages and subtypes, including novel mTEC subsets, such as chemokine-expressing and ciliated TEC, which warrant further characterisation. Unexpectedly, 50 modules of genes were robustly defined each showing patterns of co-expression within individual cells, which were mainly not explicable by chromosomal location, biological pathway or tissue specificity. Further, TSPAN8+ and GP2+ mTEC were randomly dispersed within thymic medullary islands. Consequently, these data support observations that PGE exhibits ordered co-expression, although mechanisms underlying this instruction remain biologically indeterminate. Ordered co-expression and random spatial distribution of a diverse range of TRAs likely enhance their presentation and encounter with passing thymocytes, while maintaining mTEC identity.


RESEARCH 2021- present: A Flora of the Silver Peak Range, Esmeralda County, NV
Background
The Silver Peak Range sits in a remote corner of Esmeralda County in the western Nevada desert. Its subalpine peaks reach 2,856 m in elevation and descend into a colorful palate of unique and unusual geology that bears both interesting plant communities and mineral rich soil, some of which are notably high in lithium. Because of this, the region is a hot-spot for proposed lithium extraction and geothermal development, both of which are sought after in our energy transition to renewable energy. Due to increasing demand and new projects being proposed on public lands, baseline biological data is needed to inform management decisions that can maximize protection of biodiversity. Unfortunately, the extent of Nevada's incredible botanical diversity is largely under-documented. For example, botanical specimen collection density is estimated at 0.34 specimens/km2 on average, compared to neighboring California which has 4.76 specimens/km2 on average. While the estimated specimen density is likely underestimated due to a lag in digitization efforts, it still underscores the need to collect herbarium specimen data. This data can inform appropriate siting of mineral extraction and energy development, which in turn will reduce conflicts with sensitive resources such as rare plants and ecological communities.
Despite the lack of botanical documentation, we know that the Silver Peak Range is home to narrowly endemic and imperiled species such as Tiehm’s buckwheat (Eriogonum tiehmii) and Tecopa bird's beak (Chloropyron tecopenseis). The proximity of the Silver Peak Range to other specialized habitats, such as those located in the White Mountains and Death Valley National Park in California, as well as the presence of unique ecosystems such as alkali wetlands lends potential for this area to host high levels of species richness and endemism. This region also sits within the transition zone between the Great Basin and Mojave deserts, and includes the northernmost extent of the western Joshua trees (Yucca brevifolia), a species predicted to undergo widespread extirpation in the southernmost region of their range. This northernmost extent of their range could serve as a future climate refugia for the species in the future. Additionally, the area is forested by stands of pinyon pine (Pinus monophylla), a culturally important food crop for the Timbisha Shoshone tribe that is currently experiencing widespread mortality, threatening indigenous cultural heritage as well as the local ecosystem. Die-off of pinyon pine forests is directly related to prolonged drought and can drastically alter fire regimes. Understanding geographic patterns of plant diversity in relation to the unique geological makeup of the Silver Peak Range will contribute to well-informed land management decisions. For example, preliminary data suggests that Tiehm’s buckwheat (E. tiehmii) is a rare specialist, edaphically restricted to mineral rich soils containing lithium, highlighting the importance of a biogeographical analysis of the area's rare plants. These factors underscore the urgency and importance of a floristic inventory in this region.
Follow the project on iNaturalist! 2020-2021: Pollinator preferences between horticultural and wild Rosa spp.
Background
The city of Portland, Oregon, is famous for it's rose gardens. Horticultural rose varietals are common landscaping plants, featured prominently in backyards, city parks, medians, and public landscaping. Native Rosa spp., such as Rosa gymnocarpa, Rosa nutkana, Rosa piscocarpa, and Rosa woodsii, are much less common in landscaping. Horticultural rose varietals are often sterile due to their reproductive organs being converted to petals through homeotic mutations, resulting in showy flowers bearing multiple layers of petals. This genetic mutation often blocks access to the floral nectaries as well, suggesting that horticultural rose varieties have lower wildlife value than their wild counter-parts. With pollinator populations on the decline, understanding floral visitation preferences between cultivated and horticultural rose varities in Portland can help inform public landscaping efforts and restoration projects in an attempt to make the City of Roses a pollinator-friendly landscape. Rose bushes were selected at random across the city in urban, garden, and wild-type environments. Pollinators were recorded during the same time of day during the spring and summer months at both horticultural and wild rose bushes, and were identified using field guides and iNaturalist. Results were analyzed with a student's T-test and showed higher pollinator diversity at wild rose bushes. Information was translated into a public-outreach poster advocating for the use of wild roses in gardens and public landscaping to enhance pollinator habitat in the Willamette Valley, Oregon.


Anxiety disorders impact almost one-third of all adults and adolescents, making it one of the most prevalent mental health issues. When traditional anxiety treatments are not working, it is time to meet the experts at MindSet in San Diego, California. To address the disrupted brain waves that cause anxiety and obsessive-compulsive disorder, they use tailored repeated transcranial magnetic stimulation (PrTMS®), a safe, efficient, and nonintrusive treatment. Make an appointment with a San Diego anxiety specialist by calling the office or booking online.
What Should You Be Aware of When It Comes to Anxiety Disorders?
When a person is worried, their brain releases hormones and neurotransmitters to calm them down. Numerous systems in the body are affected by these substances, motivating it to cope with the perceived danger or to flee from danger fast.
Unless individuals have an anxiety disorder, biochemicals revert to normal once the danger has passed and the fear has subsided. Even when there is not a true danger, patients with anxiety disorders remain on heightened alert.
Another thing that happens when you are anxious is that your brain's electrical activity differs from typical brainwaves. PrTMS can restore normal brain waves while also harmonizing neuron activity and reducing anxiety.
Obsessive-Compulsive Disorder (OCD): What Should You Know?
For a long time, OCD was thought to be an anxiety illness. It was recategorized into its class, obsessive-compulsive and associated disorders, in the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition: DSM-5. Nevertheless, patients with OCD are more likely to have a co-occurring anxiety disorder.
Persons with OCD experience obsessions, which are continuous, and undesirable feelings and thoughts that are uncontrollable. These obsessions prompt individuals to feel extremely anxious, and they feel compelled to do something to alleviate the anxiety.
A compulsion is an act used to alleviate anxiety. While relying on a compulsion might temporarily alleviate anxiety, the intrusive thoughts will resurface, and the cycle will repeat.
Studies have shown that persons with OCD have unusual electrical activity in their brains, similar to those with anxiety disorders. Modifying brain waves with PrTMS® could assist with OCD symptoms. Transcranial magnetic stimulation (TMS) has been authorized for use in treating OCD by the US Food and Drug Administration.
What Exactly Is TMS?
TMS uses a device that transmits magnetic pulses into the brain to trigger neuron activity. When used consistently, TMS restores regular brainwave activity and provides long-term relief for mental health disorders such as OCD and anxiety.
The gadget that generates the magnetic pulse is deliberately positioned near the head to ensure that the correct area of the brain is addressed. The magnetic waves only touch the region being treated; they do not affect the remainder of the brain.
What Is PrTMS® And How Does It Work?
PrTMS employs transcranial magnetic stimulation (TMS) to address OCD and anxiety, but it builds on the treatment by tailoring treatment to the brain's specific brainwave rhythm. To improve PrTMS performance, the MindSet staff devised three steps.
In the initial step, your doctor uses an electroencephalogram (EEG) to monitor brainwave activity. He then provides an accurate snapshot of the brain's electrical activity using the PeakLogic ComfortScanTM EEG, enabling him to detect brain arrhythmias.
In the second stage, patients take a questionnaire that detects symptoms. This questionnaire provides the staff with a detailed examination of mental health and allows them to address the specific brain areas connected with a patient's specific issues.
Finally, their revolutionary PeakLogic Software evaluates the EEG data and self-reported symptoms. This sophisticated tool generates the data required to create a personalized PrTMS® therapy regimen for every brain mapping.
Throughout PrTMS® Treatment, What Should You Expect?
For the first 6-8 weeks, you will have five sessions each week. The sessions last about 30 minutes, after which patients could resume their everyday activities.
Patients get further EEGs throughout treatment to assess progress and fine-tune the PrTMS® therapy. This continuing evaluation allows the MindSet staff to employ the least possible TMS intensity to produce the best outcomes.
Most MindSet patients notice a reduction in their OCD and anxiety symptoms within a few weeks of starting PrTMS® therapy. Although not as frequent, others might observe results in a few days.
If you or somebody you love suffers from OCD or anxiety, particularly if the symptoms do not resolve with traditional therapies, PrTMS® can assist. Call MindSet or utilize the online scheduling tool to arrange an appointment.


A procedure assessed by NICE has been hailed as an “exciting development” in increasing the number of livers which can be safely used for transplantation.
A perfusion machine can keep the donated liver viable for transplantation for longer. The machine reduces the rate of tissue deterioration that occurs after the liver has been removed from the donor and extends how long the liver can be stored before transplantation.
Variations of the technique can also allow the liver to be flushed with blood at body temperature and supplied with oxygen, medications and nutrients allowing its viability and function to be assessed.
It is hoped machine perfusion could increase the number of organs viable for transplant, saving more lives and reducing liver transplant waiting lists.


IMO Welcomes Agreement to Allow Essential Commodities via Black Sea IMO Secretary-General Kitack Lim has welcomed the agreement between, the Russian Federation, Türkiye, Ukraine and the United Nations to establish a humanitarian maritime corridor to allow ships to export critical cargoes of grain and foodstuffs from Ukraine.
The agreement was signed in Istanbul, Türkiye after several weeks of talks. IMO participated as part of the UN delegation. Lim attended the signing ceremony in Istanbul.
Lim said: "I am very pleased that all parties have reached agreement on the way forward for ships to safely transport much-needed grain and other commodities through the Black Sea.
"This agreement would not have been possible without the spirit of cooperation by the countries involved and the leadership shown by UN Secretary General António Guterres in proposing this initiative.
"The safety of ships and seafarers remains my top priority. IMO instruments, including the International Ship and Port Facility Security (ISPS) Code, underpin this agreement for safe and secure shipping through the Black Sea.
"I commend the efforts of all involved, particularly the IMO Member States - Russian Federation, Türkiye and Ukraine."
The IMO Council, at its 35th Extraordinary Session in March, requested the IMO Secretary-General to collaborate with relevant parties to initiate the establishment and support the implementation of a blue safe maritime corridor in the Black Sea and the Sea of Azov.
Stabilizing global food supplies
Speaking at the signing ceremony, UN Secretary General António Guterres said, "Let there be no doubt – this is an agreement for the world. It will bring relief for developing countries on the edge of bankruptcy and the most vulnerable people on the edge of famine.
"And it will help stabilize global food prices which were already at record levels even before the war – a true nightmare for developing countries.
"Specifically, the initiative we just signed opens a path for significant volumes of commercial food exports from three key Ukrainian ports in the Black Sea – Odesa, Chernomorsk and Yuzhny.
"The shipment of grain and food stocks into world markets will help bridge the global food supply gap and reduce pressure on high prices."


Studying philosophy means discovering what you believe and why.
You will gain essential analytical and critical thinking skills, while becoming aware of the assumptions made in other disciplines.
Brilliant thinkers such as Plato, Nietzche, Simone Weil or Descartes have thought deeply about the fundamental questions of life. We will make you acquainted with their work.
Join us for fascinating conversations about big questions which everyone is interested in.
Studying philosophy means receiving training for other professions, such as law or medicine.
Did you know the most common major or honours subject taken by Fortune 500 CEOs is philosophy?
These questions focus on the nature of reality. Is matter all that exists? Can the mind survive the death of a body?
How can we know what we claim to know? If matter is all that exists, then how do we know that this is all that exists?
These questions focus on what we should do. Can a person lie? Should the recreational use of certain drugs be made legal?
How do we structure arguments, from premises to conclusions? Can the premise guarantee the truth of the conclusion?
Is beauty purely subjective? Are there objective standards? Why can tragedy be beautiful, or why is art terrifying and beautiful?


The African Energy Chamber will support the fourth edition of the Namibia International Energy Conference 2022, which will be held in Windhoek on April 20-22, and is founded and organized by Rich Africa Consultancy, with the official endorsement of Namibia’s Ministry of Mines and Energy, led by H.E. Minister Tom Alweendo.
The two-day flagship event themed ‘The Energy Mix: Positioning for Investment, Industrialization, and Growth,’ will be the official meeting place for Namibia’s energy industry, bringing together energy leaders and stakeholders with investors and international financiers on a platform that facilitates constructive dialogue and networking opportunities, promoting Namibia as a new destination for energy investments, and driving industry growth.
Recognized as Namibia’s official energy conference, the highly anticipated thought leadership event will unite participating companies, international investors, service companies, and various international delegations to provide updates on exploration activities, green hydrogen developments, and regional and other ongoing projects, thus serving as the exclusive platform through which ongoing and future projects will be announced – highlighting upcoming business and investment opportunities within the country.
“Namibia has truly and agreeably demonstrated its commitment to its energy future, a commitment that will be emphasized at the Namibia International Energy Conference this year. Like most African countries, Namibia is eager to capitalize on the potential of its basins and the Conference will be catalytic in driving investment and development, and helping Namibia attain these goals,” says NJ Ayuk, Executive Chairman of the African Energy Chamber.
“Minister Tom Alweendo has demonstrated the utmost commitment to developing Namibia’s growing energy sector. We at the African Energy Chamber are behind him all the way,” adds Ayuk.
Committed to driving industry growth and development across the country, the event will take place on the heels of the massive light oil discovery made offshore Namibia by Shell Namibia Upstream and QatarEnergy. Announced by the National Petroleum Corporation of Namibia (Namcor), the discovery was made at the Graff-1 deepwater exploration well, located 270km from the diamond mining town of Oranjemund, in the Orange Basin, where drilling was made at a total depth of 5,376m in water depths of approximately 2,000m.
With drilling operations of the Graff-1 well having commenced in December 2021, Namcor has indicated its intention to fast-track the development of the oilfield to have production by 2026. Shell has stated that the exploration well has demonstrated exciting results, with the presence of a working petroleum system with high-quality light oil.
The conference will bring together numerous perspectives from across the energy value chain, serving as the premier platform through which industry players can shape the future of energy in Namibia and the rest of the region, taking a close look at the latest developments. It is dedicated to enhancing collaboration, knowledge, and investment between energy industry stakeholders and driving a greater understanding of the continent’s energy landscape to promote socioeconomic development.


Encourage innovation. This approach promotes inclusiveness since all employees are encouraged to brainstorm and share ideas, knowledge, and experiences. As a result, they interact with and appreciate the different perspectives of their colleagues. Group advancement is the foundation of each fruitful organization. It’s what separates a business from the challenge, and encourages it to develop and flourish.


OCHA-Bucky
In a previous news feature, we introduced the UN OCHA-Bucky project that began in March 2020. The project is a collaboration between the John Hopkins University Applied Physics Laboratory (APL) and the Centre for Humanitarian Data to help combat the current COVID-19 pandemic in humanitarian aid areas.
OCHA-Bucky is a model that predicts the number of cases, hospitalisations, and deaths over the coming weeks and helps in the decision making process on a short-term and operational basis, thereby protecting and saving people amidst this humanitarian crisis. In an online event late October, the model was presented in more detail and some of its initial results were evaluated.
OCHA-Bucky is designed to facilitate projections at the national level, over a short-term with frequent updates, and at the same time, it measures the impact of non-pharmaceutical interventions. The webinar recording, webinar slides, model code and documentation, and the projections of Afghanistan, Iraq, Somalia, South Sudan, and Sudan are online now.


This event has passed. Ideas for Implementing Triadic Strategies: Putting it Into Action! Thu June 10, 2021: 11:00 am-12:30 pm EDTFree Event Navigation About This Webinar:
Triadic strategies focus on the interactions between three individuals: the child, caregiver, and EI/EC professional. In this webinar we explore ideas and resources for implementing the triadic strategies, introduced in Part 1 of this two-part series. Our primary focus is on the use of triadic strategies to share developmental information with families of infants, toddlers and preschoolers in a meaningful and engaging way.
Presenter Tweety Yates, Ph.D. works on the Early Intervention Training Program (EITP) Grant at the University of Illinois and The National Center on Early Childhood Development, Teaching and Learning (NCECDTL) contract through Vanderbilt University. She is also a consultant and faculty for the Pyramid Model Consortium. Dr. Yates’ primary research interest are supporting caregiver-child interactions, promoting social emotional, language, and literacy development and effective professional development delivery practices. She has been involved in early childhood professional development for over 30 years. Continuing Education (CE) Credit Click the button below for CE credit You will be prompted to complete an evaluation after which a link will be provided. Continuing Education
For questions about CE opportunities not addressed in the information below, please email the Early Intervention team at
MFLNFDEarlyIntervention@gmail.com
This FD Early Intervention webinar:
Offers CE credits through the Early Intervention Training Program (EITP) at the University of Illinois. This is a Gateways to Opportunity Registry-approved Training for early care and education professionals in Illinois. Has been approved for 1.5 Continuing Education Credits for the Certified Family Life Educator (CFLE) program through the National Council on Family Relations. Providers in Coloradomay use the contact hours for license renewal through the CO Div. of Regulatory Agencies. Individual licensed Massachusettsstaff may use the CECs for their individual licensing requirements. Offers 1.5 State Continuing Education Clock Hours (SCECHs) for providers in Michigan. The following states have agreed to recognize the EI CE credits we offer: Alabama, Georgia, Indiana, North Carolina, Texas, Virginia, and Washington.
The Early Intervention team is actively seeking CE credits. Please check back frequently for updates.
Good Things Come in Threes | Series
This webinar series discusses evidence-based strategies used by early interventionists (EI) and early childhood (EC) care and education professionals that promotes child development through caregiver-child interactions. These strategies, referred to as triadic strategies, focus on the interactions between three individuals: the child, caregiver, and EI/EC professional.


Abstract
Currently, food allergy is a major health problem with an estimated prevalence of about 5% in young children and 3-4% in adults and the prevalence is increasing. However, no cure or approved treatment is available, despite the increased knowledge of mechanisms playing a role in food allergy. The aryl hydrocarbon


Telling The Difference Between Migraines and Headaches Headaches Headaches are categorized as unpleasant pains in your head that cause pressure and aching. Pain can range from mild to severe, usually occurring on both sides of the head. Some specific areas where these can occur include the forehead, temples, and the back of the neck. A headache may last from 30 minutes to a whole week. Tension headaches The most common type of headache is a tension headache, with triggers including stress, muscle strain, and anxiety. Cluster Headaches These are severely painful headaches that occur on one side of the head in clusters with cycles of attacks. Sinus Headaches Often confused with a migraine, these headaches usually co-occur with sinus infection symptoms like fever, a stuffy nose, congestion, and facial pressure. Chiari Headaches This headache is caused by a birth defect, Chiari malformation, causing the skull to push against parts of the brain and causing pain in the back of the head. Thunderclap Headaches This headache is a very severe type that develops in under 60 seconds. It might be a symptom of a subarachnoid hemorrhage, a serious medical condition requiring immediate medical attention. Migraines Migraines are intense headaches often with other symptoms in addition to just head pain. Symptoms include: – Pain behind one eye or ear – Pain in the temples – Seeing spots – Sensitivity to light or sound – Temporary vision loss – Vomiting Compared with other headache types, migraine pain can be moderate to severe. Some people may experience pain so severe that they seek care at an emergency room. These headaches will usually affect only one side of the head. A migraine will cause intense throbbing pain that can make performing daily tasks very hard. Migraines are usually divided into two categories: – Migraine with aura – Migraine without aura An ‘aura’ refers to symptoms experienced 10-30 minutes before a migraine, including: – Having trouble thinking – Seeing flashing lights – Feeling tingling or numbness – An unusual sense of smell, taste, or touch Migraine Triggers People who experience migraines regularly report various factors that are associated with the pain. These are called migraine triggers and may include: – Emotional anxiety – Contraceptives – Alcohol – Hormonal changes – Menopause


抄録
BACKGROUND: A biologic, degradable extracellular matrix (ECM) has been shown to support esophageal tissue remodeling, which could reduce the risk of anastomotic leak following total gastrectomy and esophagectomy. We evaluated the safety and efficacy of reinforcing the anastomosis with ECM in reducing anastomotic leak as compared to a matched cohort. STUDY DESIGN: In this single-center, nonrandomized phase II trial, gastric or esophageal adenocarcinoma patients undergoing total gastrectomy or esophagectomy were recruited from November 2013 through December 2018. ECM was surgically wrapped circumferentially around the anastomosis. Anastomotic leak was assessed clinically and by contrast study and defined as clinically significant if requiring invasive treatment (grade 3 or higher). Anastomotic stenosis, other adverse events, symptoms, and dysphagia score were collected by standardized forms at regular follow-up visits at approximately postoperative days (POD) 21 and 90. Patients receiving ECM were compared to a cohort matched for surgery type and age. RESULTS: ECM placement was not feasible in 9 of 75 patients (12%), resulting in 66 patients receiving ECM. Total gastrectomy was performed in 50 patients (76%) and esophagectomy in 16 (24%). Clinically significant anastomotic leak was diagnosed in 6 of 66 patients (9.1%) (3/50 [6.0%] after gastrectomy, 3/16 [18.8%] after esophagectomy); this rate did not differ from that in the matched cohort (p = 0.57). Stenosis requiring invasive treatment occurred in 8 patients (12.5%), and 10 patients (15.6%) reported not being able to eat a normal diet at POD 90. No adverse events related to ECM were reported. CONCLUSIONS: Esophageal anastomotic reinforcement after total gastrectomy or esophagectomy with a biologic, degradable ECM was mostly feasible and safe, but was not associated with a statistically significant decrease in anastomotic leak.
All Science Journal Classification (ASJC) codes 外科


With over 150 identified compounds in the flower, this highly prized herb has widespread traditional health-related uses, from inflammation to PMS to digestive support. However, it is now being seriously regarded for its therapeutic role in mood, homocysteine levels, anxiety and more. It is a natural support for neurotransmitters, which modulate various functions including sleep and mood. Studies to date support its effective role in the management of depressive symptoms, with mechanisms of action thought to be similar to prescription antidepressants (i.e. re-uptake inhibition of monoamines [dopamine, norepinephrine, and serotonin] and inhibition of the N-methyl-D-aspartic acid [NMDA] receptor). Saffron has also been found to have GABA-like effects, which assists in relieving feelings of anxiety. Saffron has been clinically proven to help manage stress while supporting mood balance, and scientific studies continue to reveal its health-related advantages.
AOR Advantage
Saffron must be handpicked under particular conditions, leading to its status as one of the most luxurious and expensive herbs. AOR’s saffron is a pure, standardized extract, sourced from Iran, and derived from a proprietary process that extracts the main active compounds of the stigma of saffron flowers without causing oxidative damage.
Guarantees
AOR guarantees that all ingredients have been declared on the label. Contains no wheat, gluten, corn, nuts, peanuts, sesame seeds, sulphites, mustard, soy, dairy, eggs, fish, shellfish, or animal byproducts.
Pure Crocus sativus Gluten Free Non-GMO Vegan Standardized pure saffron extract A natural neurotransmitter booster Supports healthy mood balance Helps manage stress


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In addition to their role in providing energy, carbs also help regulate blood sugar, insulin metabolism and support cholesterol and triglyceride metabolism. When there is an overabundance of carbohydrates in the diet, these bodily functions can be thrown out of whack.
Dietary carbs can be divided into the following categories:
Dietary guidelines recommend individuals fill 45-65% of their diet with carbohydrates, with a focus on having an optimal fiber intake and limiting simple carbs.
Low-carb diets typically provide around 20 to 130 grams of carbs per day and anywhere from less than 10% to 44% of calories from carbs. Some of the more popular low-carb diets include the following:
Keto diets typically include 20 to 50 grams of carbs per day. [This] diet gained attention in the early 20th century when physicians discovered the beneficial effects of carb restriction on the symptoms of epilepsy in children, therefore, these diets were used for the treatment of epilepsy, says Alma Simmons, a registered dietitian nutritionist and maternal fetal medicine dietitian and diabetes educator at Ohio Health Hospital. However, when people started realizing that low- carb diets could also help with weight loss, the popularity increased drastically, she adds.
The goal of the keto diet is to induce ketosis. Typically, the body prefers carbs as its main fuel source, but when there arent enough carbs available, the body is forced to burn stored fat for energy. Ketosis is the name of this fat-burning process.
Its important to note that a keto diet designed for an individual living with epilepsy is quite different from one designed for someone who does not have the condition. Most notably, individuals with epilepsy are routinely advised to go on a more restrictive, very high fat diet so their body goes into ketosis quickly.
Established in 1972 alongside Dr. Robert Atkins book Dr. Atkins Diet Revolution, this diet is based on the idea that a low carb intakeas opposed to the conventional low calorie dietis superior for weight loss. Today, there are variations of the Atkins diet, ranging from 20 to 100 grams of carbs per day. Typically, the Atkins diet is less restrictive when it comes to fruits and vegetables, which may make it a good choice for increased consumption of vitamins and minerals.
Proponents of the paleo diet claim that the foods eaten by hunter-gatherer groups from the Paleolithic era are best for human health. The diet contains about 25% carbs and excludes all grains, legumes, dairy, sugar and processed foods.
Different people may respond differently to low carb diets; just because a certain low carb diet works for one person really well (i.e quicker weight loss), doesnt mean it will work the same way for another persona distinction often due to genetics. Additionally, individuals living with extra weight and obesity may find that it takes them longer to reach ketosis than individuals who are not living with those conditions.
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At Dr. James Gallant Dentistry, our dentists perform numerous oral surgery procedures to help treat dental issues and restore your oral health.
What is Oral Surgery?
Diseases, injuries and defects of the hard and soft tissues of the face, mouth, jaws and teeth need prompt attention and treatment.
While the least invasive treatment possible is ideally used for any given dental issue, in some cases these less invasive treatment options are simply not sufficient and oral surgery will be recommended.
Dental Implants in Pembroke
A dentist can place a dental implant as part of the process to replace a missing tooth and restore your smile. This small titanium screw functions like a natural tooth root. Together with a tooth replacement such as a bridge or crown, it looks and feels much like a natural tooth.
Gum Grafts in Pembroke
During a gum graft procedure, gum tissue is transplanted from the roof of the mouth to another area of the gums. With a gum graft, we can repair receding gums, cover exposed tooth roots and reduce associated symptoms such as severe tooth sensitivity and eventual tooth loss to protect your oral health.
Frenectomy in Pembroke
The dentist or surgeon can perform a frenectomy procedure to remove a frenum, a small piece of tissue connecting your lips, cheeks or tongue to your gum area. Our dentists perform frenectomies for babies, children or adults when the frenum is restricting function. This is typically referred to as lip-tied, cheek-tied or tongue-tied.
Bone Grafts & Sinus Lifts in Pembroke
A bone graft procedure involves adding bone tissue to your jaw bone, strengthening it to support a dental implant. A sinus lift is a type of bone graft in which your dentist adds bone material to the upper back jaw to raise and increase the amount of bone in the sinus area to place a dental implant.
Tooth Extractions & Wisdom Tooth Removal in Pembroke
While we always prefer to save a natural tooth, there are some cases where it's not possible. If a tooth is too badly damaged as a result of decay, gum disease or injury, it may need to be removed by your dentist.
Wisdom teeth are the final set of molars that erupt in the back corners of a normal adult mouth. If the wisdom teeth are causing problems for your oral hygiene, your dentist may recommend removing them to help preserve your oral health.


If it makes economic sense to plant trees, wouldn´t more people reforest their land? Indeed they would. In Guatemala landowners are paid annually to reforest an area through a program supported by the government´s Forestry Institute, INAB. However, the application process can be complicated, so FDN assists the communities with the paperwork and trains them in efficient forestry practices. “People used to plant corn here, but the land was too steep and the soil was poor so it


What is CNG Kit: Price, Usability & Top RTO Approved Brands
CNG or Compressed Natural Gas is an environment-friendly gaseous fuel. It is an excellent affordable alternative to diesel and petrol. To make it more cost-efficient, you can also purchase a CNG kit from an independent seller and install it in your car to reduce fuel costs. This kit includes parts installed in a vehicle and operates it using CNG gas.
Here is a detailed discourse on the CNG kit price, installation process, and other details If you are looking to install this kit in your car.
Keep scrolling to know more.
What Is a CNG Kit?
To use CNG, you have to install a CNG kit in your petrol or diesel car. Else, you need to buy a CNG car. Installing a CNG kit in your existing car can be more pocket-friendly. A CNG kit consists of a refilling valve, pressure gauge, ECU or Electric Control Unit, and such other components.
Before opting to install a CNG kit, you must find out whether your car model is compatible to run on CNG.
What Is the Use of a CNG Kit?
The soaring price of petrol and diesel is one of the important reasons for vehicle owners in cities such as Delhi-NCR and Mumbai to use CNG conversion kits.
A CNG kit comes with a regulator, high-pressure tube, fittings, pressure gauge, hoses, hoses, clamps etc. It also includes a fuel switch over, which allows a driver to shift from gasoline to CNG by pressing a button. Remember, the CNG conversion cylinder and cylinder valve are sold separately.
Here is how a CNG kit works in a car. Take a look!
The cylinder or fuel tank stores CNG gas and is installed at the back of your vehicle. The CNG fuel system releases high-pressure gas from the fuel tank and transfers it through the fuel lines. The pressure regulator reduces the pressure, which is compatible with the engine fuel injection system. Then, CNG transfers to the combustion or manifold chamber, mixing with air. The spark plug ignites the compressed gas and starts the engine.
Besides knowing what a CNG kit is and how it works, let’s delve deeper into a cost-benefit analysis of a CNG kit.
Is a CNG Kit Suitable for Your Vehicle?
A CNG kit comes with both advantages and disadvantages. Consider the following pros and cons of a CNG kit before finalising your purchase from a dealer –
Pros
Affordable – Installing a CNG kit in your vehicle will prove to be cost-effective in the long run. Diesel cars are approximately ₹2 lakhs more expensive than their petrol counterparts. On the other hand, a CNG model costs ₹90,000 higher than a petrol vehicle. This is because it is excellent in fuel economy, resulting in low running expenses. If you intend to use your car for at least 5 years, equipping it with a CNG is ideal. Less pollution – It reduces carbon footprint by around 5% to 10% compared to a gasoline-powered vehicle. Thus, it is effective in reducing pollution. Adulteration-free – It is nearly impossible to adulterate CNG, unlike petrol and diesel. Adulterated fuel is not suitable for a car’s on-road safety. Moreover, CNG sales rarely involve fraud. Cons
Maintenance and installation cost is high – Buying a CNG kit is a one-time investment. However, its installation and maintenance cost is remarkably high. Selective availability of CNG stations –CNG fuel stations are not widely available in metropolitan cities. It is worse in remote rural areas. Hence, experts advise that you carry a backup of petrol or diesel on a long drive. How to Choose a CNG Kit for Your Car?
A common dilemma among car owners is if they should purchase a company-fitted CNG kit or opt for a CNG kit from the market. The answer depends on the type and brand you choose while purchasing your kit.
There is a common myth that a company-fitted CNG kit delivers optimum performance and features improved longevity. However, automobile experts state that both offer similar performance.
Also, consider whether your CNG kit is compatible with your vehicle or not. There are two types of CNG kits available in the market –
Venturi CNG Kit:This is an affordable option and an easy-to-install kit compared to others available in the market. It is suitable for any automobile, fuel-injected or carburettor driven vehicle. You can also install it without using an Electronic Control Unit. However, this kit needs frequent cleaning, which requires expert help. Therefore, it may appear affordable in the short term but incurs considerable expenses in the long run. Sequential CNG Kit:According to automobile experts, this is a better alternative. It has a separate Electronic Control Unit to control the flow of CNG gas to the engine unit. This ensures improved mileage performance. But this costlier kit is only suitable for fuel injection supported vehicles and is challenging to install.
Hence, select one that fits best with your budget and vehicle make and model.
Note: If your existing car is compatible with any CNG kit, you must ask for government approval for its installation.
You need to receive the “Fuel Change” Registration Certificate from local authorities. This process involves a considerable amount of time compared to when you want to install a CNG kit in your new vehicle.
There are other factors that your need to consider while installing a CNG kit –
Select a credible brand. Invest in a reputed fitment centre to ensure the longevity of your CNG kit. Check warranty coverage. Opt for lesser paperwork. Top 11 CNG Kit Brands Available in the Market
If you are wondering which CNG kit is the best, here is a list of 11 RTO-approved brands available across India –
BRC Landi-Renzo Lovato Autogas Unitax SKN Tartarini Tomasetto Zavoli Bedni Bugatti Longas
Generally, car dealers use kits from one of these brands. Hence, research accordingly about CNG kit price, brand etc., to make an informed decision. If you plan to purchase a CNG kit from an independent seller, make sure to complete the paperwork before completing the installation. Also, do not forget to read about its customer feedback before moving ahead.
How Much Does a CNG Kit Cost?
The cost of a CNG kit depends on what type and brand you are selecting. A company-fitted CNG kit will cost you approximately between ₹60,000 and ₹70,000. Conversely, a sequential CNG kit from an independent seller will cost you around ₹40,000 to ₹50,000.
Remember, installing an aftermarket CNG kit eliminates the warranty coverage that you receive from a manufacturer. Every company-fitted CNG kit comes with an OEM warranty and is, therefore, comparatively more expensive.
At the same time, if you opt for an open-loop CNG kit, it will cost you around ₹15,000 to ₹20,000, inclusive of installation charges. The cost of a closed-loop is between ₹22,000 to ₹25,000. Additional expenses include maintenance charges and registration fees, among others. Registration charges, inclusive of RC Endorsement, amounts to around ₹2,000 to ₹3,000.
A CNG installed car requires a high insurance premium. The premium increases by 10% based on a car’s make and model. It will cost you around ₹1,200 to ₹1,500. Note that a CNG kit price may vary according to your locality and car’s make and model.
How Much Boot Space Does a CNG Kit Require?
The space occupied by a CNG kit on the vehicle’s boot depends on the size of your vehicle’s boot space and cylinder model. A CNG kit occupies at least 1/3rd of your vehicle’s boot space. However, you can install a carrier for convenience to compensate for your lost boot space.
Is a CNG Kit Safe for Your Car?
Installing a CNG kit is safe as it features a high-auto ignition temperature. The temperature is nearly around 540-degree Celsius in comparison to 360-degree Celsius of petrol. It reduces the chances of your car catching fire.
It also releases less carbon, making it more environment-friendly than petrol and diesel as well.
Also, another question that concerns a consumer is whether refuelling a cylinder is safe or not. The answer is yes. It is made according to specific international standards. The Chief Controller of Explosives also approves it before being sold in the market.
What Is the Mileage Capacity of a CNG Kit-equipped Vehicle?
The mileage capacity of a CNG-installed car depends on its make and model and driving habits. However, a cylinder with 50-litre water carrying capacity holds an average of 9 kilograms of CNG. It is equal to 12.5 litres of petrol. It allows you to drive approximately 150km-160km with an engine capacity of 1300CC of a medium-sized car.
An electronic fuel gauge fitted into your car’s dashboard helps you monitor how much CNG is available in the cylinder.
How Much Can You Save While Using a CNG Kit?
As discussed earlier, using a CNG kit is cost-efficient. On average, you can save up to ₹3 to ₹5 per kilometre. For instance, if your car covers nearly 30 kilometres per day, you will save approximately ₹40 to ₹50 daily and ₹1410 monthly. Your annual savings will be around ₹16,920.
Indraprastha Gas Ltd. says that CNG will offer a 68% savings on running costs than petrol and 50% compared to diesel. To increase your savings, make sure to perform thorough research of the CNG kit price, dealer and reviews before purchasing.


All business entities, whether for-profit, governmental bodies, or not-for-profits, face uncertainties and risks that threaten their performance. Risks are unavoidable in everyday life, and businesses are no exception. For any enterprise, managing risks is imperative for attaining success. Enterprise risk management (ERM) offers a framework for businesses to deal with uncertainty and its associated risks effectively. It can be incorporated into internal audit planning, performance management systems, and budgets.
What You Should Know About Enterprise Risk Management
Enterprise risk management is a strategy to identify, assess and plan for any potential dangers, losses, and hazards that could interfere with business operations and objectives. It involves setting in place practices and policies that guide a business in handling various risks. It allows one to identify and spectrum of risks and mitigate them effectively. Some of the risks that businesses face may include the following:
Technological changes Stakeholder pressure A shift in customers’ preferences and demands Competition Merger integration
Integrating ERM takes a holistic approach. ERM practices vary based on the firm’s preferences, objectives, and size. There are three types of risks; financial, strategic, and operational. Financial risks impact the financial health of a business, while strategic risks affect its long-term plans. Operational risks are those that affect day-to-day operations. ERM-friendly businesses are attractive to investors and signal more stable investments.
Why Is Enterprise Risk Management Important? Reason One: Creates A Risk-Focused Culture
Enterprise risk management has the power to strengthen any business. It helps a business brace itself for the severity of risks and prepares the enterprise to respond appropriately. ERM provides business owners with the necessary tools to identify and deal with unexpected risks. This results in a cultural shift towards management being more open to risk-related discussions. The management can freely share information regarding how risks are managed and give better insights. Moreover, it gives the base for an enterprise to make informed decisions
Reason Two: Increased Compliance With Legal And Regulatory Requirements
When a business has an ERM strategy in place, they are better positioned to comply with regulations. In some businesses, adhering to ERM practices is mandated by compliance and regulatory requirements like ISO 3100 and COSO. This minimizes the risk of compliance breaches, and business operations run smoothly.
Reason Three: Greater Confidence In The Enterprise Goals
When the staff is confident that risks which could potentially derail their aims and goals are being managed effectively, they are more satisfied with their duties. If employees know there are plans to protect the business’s resources, they feel more motivated to offer better customer service should risks occur. Sequentially, this improves human productivity and enhances employee relationships, and the overall profitability of the enterprise is increased.
Top Things You Need To Know About Enterprise Risk Management
Integrating ERM should not be burdensome. It is important to know that complex problems do not necessarily require complex solutions. Business owners tend to overcomplicate ERM, thus losing its primary role in the process. As a business owner, you should know that enterprise risk management includes five key elements:
1. Objective Setting
A vital part of integrating ERM into a business strategy is ensuring that it aligns with the enterprise’s core objectives. An enterprise’s planned objectives should be included in the risk analysis. This allows the management to focus on specific aspects of the business. Talk with the senior management and ensure that they are committed to ensuring the success of the process.
2. Risk Identification
As a business owner, one should clearly outline significant risks that can adversely impact the enterprise’s well-being. First, consider what the company is already doing to mitigate risks to reduce the creation of repetitive solutions. Risk identification revolves around considering internal and external factors that affect risk occurrence. Internal factors include personnel, infrastructure, and enterprise processes. External factors comprise competition, technological advancement, policy changes, inflation, and social changes.
3. Risk Assessment
Business owners need to assess their tolerance for risk while pursuing their goals. This involves analyzing the likelihood and potential of risks. Pinpointing more significant threats allows you to focus on major risks instead of wasting effort on minor threats. As a business owner, take advantage of the risk heat map to assess risks. This is a tool used to present risk assessment results clearly and concisely.
4. Risk Response And Control
Risk response is a defensive strategy to brace the business for uncertainties. Some of the risk response strategies include; avoidance, reduction, alternative actions, sick acceptance, and transferring risks. Control is also an essential factor when deploying an ERM strategy. Factors such as internal and external regulations and compliance requirements should be factored into risk management.
5. Communication And Monitoring
Implementing an ERM process should not be a one-time exercise. Obtaining regular feedback from stakeholders is a crucial consideration. Information needs to be gathered and communicated to respective teams. Sharing information facilitates an understanding of where the risk exists and serves as an opportunity to develop plans to mitigate it.


Tag: Governor JB Pritzker
The Coalition to Protect Telehealth and State Representative Deb Conroy of the Illinois 46th House District have introduced legislation that would permanently expand access to telehealth services for Illinoisans. The legislation also details provisions that promote telehealth payment rate partity between telehealth services and in-person care. In a direct response to the COVID-19 pandemic, telehealth providers have been granted temporary waivers to align their payment rates with those prescribed for traditional care in health care facilities. These waivers have served as stabilizing financial mechanisms for many practitioners experiencing revenue loss due to the restrictions on elective procedures and non-emergency care. The proposed legislation would give patients more freedom to utilize telehealth services by removing the patient responsibilities to demonstrate hardship or access issues.
Nursing homes have been devastatingly impacted by the COVID-19 pandemic. As of February 26, 2021, as many as 34% (172,000+) of all COVID-19 deaths in the United States have been nursing home residents and employees. While COVID-19’s lethality in older adults and likelihood of transmission in congregate facilities are to blame, plaintiffs’ attorneys specifically question sweeping legislation among various states regarding nursing home restrictions on refusing COVID-19 positive residents and immunity protections. A look at the Public Readiness and Emergency Preparedness (“PREP”) Act and recent federal cases sheds light on the future of plaintiff suits related to COVID-19 deaths in nursing homes.


A multidisciplinary team of experts in Sepsis, including amongst others anaesthesiologists, immunologists, microbiologists and intensive care specialists, convened at this meeting, held in Valladolid in February 2019.Many interesting talks and engaging discussions covered the topics of sepsis definitions, therapeutic strategies, antibiotics, immunology of sepsis, and critical care of septic patients. The sessions were managed by several experts in these fields.


Abstract
We complete our study on the uncertainties in position and momentum associated with the semiclassical Hagedorn wave packets by first filling in a technical gap in the dynamics of bound states for isochronous potentials. We then consider scattered states and show that, if the packet is reflected from the potential or transmitted through a symmetric potential, then a minimal uncertainty "initial" state cannot in general lead to a "final" state with minimal uncertainty, and we give an explicit relationship for the difference in terms of a characteristic time associated with classical trajectories. We also characterize the behavior of the uncertainty product in the case where the underlying classical dynamics lead to capture by the potential.
ASJC Scopus subject areas Statistical and Nonlinear Physics Mathematical Physics


It was my apparent duty to throw the challenge of having no snacks for the entire day onto my sister and I. A most grevious duty, as I throw my hand up in mock despair.
Snacks, as being operationally defined, includes everything eaten between breakfast and lunch, and lunch and dinner, excluding fruit (not excluding dried fruit).
Alas, when it passed breakfast, I had managed to hold on. My stomach hadn’t rumbled, and I was at peace, pecking away at my computer.
But, lo and behold, as ten came, the most evillest time of the day, I began to feel the pangs of hunger. The craving for something so deliciously salty and spicy took hold of me, and it took everything in me to hold back.
To hold back!
Eventually, when my hunger and need for food overtook me, I took to opening the refrigerator and closets holding the delicious morsel of foods inside. And, alas, I was unable to find anything.
And so my appetite was repressed.
For ten minutes.
Until I opened a bag of chips.
I remember the feeling of the chip between my finger, the realization of doing something so morally against the challenge of the day, and the happiness as it found my mouth.
I had broken the challenge within the first three hours of waking up. And I don’t regret it at all. Even now, I’m munching away on some almonds, savoring the delicious creaminess and saltiness exploding in my mouth.
Alas, my sister beat me. She managed to abstain from all snacks for the entire day, as I watched aghast. I suppose, I could never restrain my
id to stop my from eating snacks for the entire day.
Now, I must wait for that fateful day the realm of snacks leave this house. And leaves me woefully hungry and ill-prepared.
I have never realized how much I rely on snacks.
Lots of love, and keep snacking,
Jess


Seas and oceans cover more than 70% of the Earth’s surface. Yet, data centers, the secure containers of digital information worldwide, are still primarily built on land. Besides space constraints, land-based data centers are vulnerable to myriad issues such as weather fluctuations, corrosion (caused by oxygen), and humidity levels – all potentially damaging valuable data.
Conventional server maintenance and data management issues have prompted data experts to consider the advantages of submerged data centers.
The History of Submerged Data Centers
Microsoft first considered the viability of submerged data centers in 2014, during Think Week, where decision-makers convened to discuss concepts and goals. The Microsoft team brainstormed for an alternate data storage method that was sustainable and achievable at a low cost.
The Think Week discussions led to an interest in watertight datacenters buried beneath the seas. Microsoft’s Specialized Project team conceived the idea partly based on the fact that 40% of the world’s populations live close to a coastal line, suggesting that submerged data centers could reduce the travel distance of data packets and improve internet use for many communities.
Microsoft’s cost-effective concept shaped up over a year and finally materialized in a prototype experiment. In 2015, the company officially launched phase 1 of Project Natick, the submerged datacenter prototype deployed off the coast of California for three months. The trial proved successful, which encouraged the team to work on a larger-scale project, which tested the commercial feasibility of their novel technology.
In 2018, Microsoft Special Projects oversaw their second underwater project involving 864 servers and 27.6 petabytes of data. The project codenamed “Northern Isles” was conducted off the coast of Scotland and remained submerged for two years before being hauled up in July for examination.
Reported Processes and Advantages
Microsoft remains optimistic regarding submerged databases. Underwater datacenters reportedly experience one-eighth of the failure rate compared to land-based facilities, which is essential since submerged cylinders make it challenging for routine maintenance.
Submerged datacenters take only 90 days from manufacture to deployment, compared to two years for traditional data storage. Data researchers filled cylinders with dry nitrogen, a gas that is less corrosive than atmospheric oxygen. Month-long air sample tests showed that the gases released by the submerged equipment had a minimum impact on server operations.
Issues to Consider
Despite Microsoft’s positive stance on the subject, submerged datacenters may still raise some concerns. Cyber communities may seek answers to these pressing issues before switching out dryland datacenters for underwater alternatives.
Environmental Concerns
Modern society is well-informed and engaged in green advocacy. The influx of submerged data centers may gradually alter water biochemistry and threaten the existence of sea life, leading to concerns and backlash from green communities. Data managers may need to provide a transparent policy on the use of non-toxic materials in datacenter construction.
Microsoft’s Nantik team is currently working on how data center parts (including servers and heat exchangers) can be easily extracted and recycled at the end of their life. The team also intends to explore ways to restore sea floors to natural conditions before database deployment, which minimizes footprint.
Maintenance and Repair Concerns
While submerged datacenters feature lower failure rates, the topic of regular maintenance is likely to remain a lingering concern. Data users will eventually seek greater accountability in managing submerged databases, especially processes that involve emergency maintenance and salvage operations.
Microsoft’s Specialized Project team is gradually moving toward a “lights-out infrastructure,” where administrators remotely maintain submerged servers with cutting-edge AI and robotic capabilities. Lights-out facilities eliminate the need for direct human intervention, which improves overall security and energy efficiency.
Submerged Data Centers Could Be The Future
Despite potential concerns, submerged databases seem to offer multiple benefits compared to traditional land-based deployments. Most of the energy consumption of servers comes from cooling processes. Underwater environments receive a natural cooling down effect from the surrounding cold waters, which reduces the risks of overheating and server faults.
The demand for digital connectivity is likely to rapidly rise in time as more communities gain access to the internet. An increase in data requires more robust infrastructures that sustain and scale communications in record time. Submerged datacenters may serve as a solution in the future as sustainable, cost-effective, and easily deployed warehouses of precious data.
Data managers may discover newfound ways to leverage technology such as RAID (redundant array of dispensable disks) to optimize servers throughout regions with inadequate grid power. Organizations may combine the capabilities of multiple submerged databases to achieve technological shifts through flexible data usage. The possibilities are limitless with submerged data warehouses.
Microsoft’s groundbreaking research is possibly the first in a long line of submerged data center trends. The need for fast deployment and access to data caches remains a priority in a world increasingly engaged in digital activity.


Reduces Inflammation – CBD has shown to reduce inflammatory responses by binding to CB2 receptors present on immune cells. It also helps reduce the cytokine and chemokine levels. Relieves Chronic Pain – CBD bind to receptors in the human body, (such as the CB1 and CB2 receptors) which exert their painkilling (analgesic)effects. Lubricates Joints – It is non-invasive,and Hemp Seed Oil is also non-comedogenic in nature. Improves Mobility – CBD reduces joint swelling which increases range of movement. Relaxes Muscles – CBD helps in soothing and relaxing the muscles


In a disused laneway in Sydney's CBD, two UNSW architects have designed a bar that allows patrons to enjoy a drink while virtually experiencing the predicted effects of climate change.
UNSW's Russell Lowe and Richard Goodwin collaborated with landscape architect Adrian McGregor to create the 7 Metre Bar as part of the City of Sydney's By George! Laneways - a project that explores the potential of Sydney's under-utilised laneways with innovative temporary art works.
The 7 Metre Bar is one of only eight submissions selected from 68 proposals evaluated by a panel led by urban designer Dr Steffen Lehmann. Each of the proposals were from interdisciplinary teams of up to 11 members.
The bar, in Underwood St near Circular Quay, is positioned seven metres above sea level which represents the worst predicted sea level rise.
Using digital gaming technology, Lowe, from the Faculty of Built Environment, spent three weeks creating a visual representation of the street and virtual weather conditions which are projected onto the laneway walls. A webcam using motion-detection software gauges the number of patrons and as the bar reaches capacity, the ferocity of the virtual weather increases.
Recycled cars, boats, street signs and mannequins are suspended around the bar, and cocktails are served in hot chip buckets and plastic jars - the materials a reflection on the waste that would be washed into the city in the virtual scenario.
Lowe believes the multi-sensory installation is an interactive comment on global warming that allows patrons to consider the consequences of inaction.
"We all stand around patting ourselves on the back because we recycle, but climate change is happening all around us, right now," he says. "I hope the project promotes dramatic reflections and responses, based on the provocative environment we've created."
Goodwin, from the College of Fine Arts, has produced public art projects for more than 30 years. He believes the art form is both powerful and political.
"Public art divides people; it becomes polemical, but that's what gives it power. This project has given us the opportunity to bring a political focus to the built environment," he says.
A short film by Russell Lowe promoting the 7 Metre Bar,
The Weather on Underwood Street, is being exhibited at the Australian Architecture Association (AAA) Young Architects exhibition at Customs House.
The 7 Metre Bar is open on Wednesday to Fridays from 4-11pm, weather permitting, until January 2010.
Media contact: Fran Strachan | 9385 8732 | fran.strachan@unsw.edu.au


We attempted to discern commonly perceived associations between headache symptomatology and various clinical and social parameters based on the results of a nationwide randomized survey involving 2096 respondents. A questionnaire incorporating demographic data, headache characteristics, and management as well as basic health screening was administered by trained interviewers to those aged 12 years and older. A digital semiautomated blood pressure monitor, a Snellen chart, and urinalysis sticks were used to gather clinical information. Elevated blood pressure, poor visual acuity, and fewer hours of nightly sleep did not positively correlate with headaches of increased frequency, intensity, or duration. On the contrary, an age-dependent negative trend was observed with regard to blood pressure and visual acuity. Individuals who performed shift work had more frequent, although not more intense or long-lasting, headaches. Income had no effect on headache prevalence or severity. Our findings are at variance with common perceptions of headache in the region. They highlight the need for informed counseling of patients presenting to medical attention with headaches and suggest that serious intracranial disease should be excluded in atypical headaches even if perceived associations are present.


On my last post I let you know that The Behavior Web would be supporting the #AC4P (Actively Caring for People) Movement. Their aim is highlight behaviors that demonstrate active care, and thus, establish a more compassionate and emphatic culture. I am excited to report we have received our first batch of wrist bands, and I can’t wait to see all the changes that this will trigger.
The Behavior Web is an organization dedicated to creating alternatives to restrictive interventions, particularly with respect to their use in behavioral health and with people with special needs. Reducing restrictive interventions leads to less stigma, creates opportunities for shared decision making, and supports all around person-centered care. That is actively caring!
In the next few weeks, I will be wearing my wrist band and reporting back with stories of people being caught in the act of actively caring, and their reaction to receiving a wristband too. I invite you to join this movement, by actively showing that you care. Who knows? I might catch you in the act and give you a wristband too!
Please comment to let me know how you are actively caring for people!


A pergola defines an outdoor space as a place that is intimate and comfortable. While supplying segmented shade, pergolas permit a little sunlight along with a nice gentle wind and are frequently utilized for accommodating a dining space.
Regardless of its exposure, a pergola is generally intended to emulate an outdoor room. A pergola can be separate or connected to the home. Bigger pergolas can get exceptionally unstable and may necessitate concrete piers to secure the base. You will also want to validate that your ideas do not breach setback requirements or homeowner association regulations.
Pergolas are normally fashioned of wood, aluminum or fiberglass. Redwood and cedar are the most prevalent wood choices, alongside pressure-treated wood as a lower-cost option. Each wood pergola ought to be re-stained once a year or repainted as necessary. All woods will weather with age, but pressure-treated wood is more apt to bend and break.
To have a pergola designed into your landscape or outdoor space, call All American at 402-408-0000 today!


The No.1 easy to use, safe, high performance cleaner for wet weather clothing and equipment. Nikwax Tech Wash® is the market leader; it has been specifically designed and optimised for breathable waterproof fabrics.
Breathable waterproof garments are most likely to get sweaty and wet inside when used in damp or wet conditions. If the outer fabric absorbs water, the garment can lose up to 70% of its breathability. Therefore, the Durable Water Repellency (DWR) on the outer fabric of your jacket must be maintained to ensure comfort. Nikwax Tech Wash® will revitalise the DWR and therefore breathability of your garment.
Your waterproof clothing and equipment could be soaking up water because the Durable Water Repellency (DWR) has been compromised by dirt, or because it has been cleaned with a conventional laundry detergent. Dirt attracts water and household detergents leave water attracting (hydrophilic) residues, leading to fabric 'wetting out' in wet or damp conditions.
If your waterproof clothing or equipment is relatively new, or recently treated with a Nikwax waterproofer, then cleaning with Nikwax Tech Wash® will not only remove contaminants, such as dirt and residues left behind by household detergents, but also revitalise DWR.
Nikwax Tech Wash® is a highly effective cleaner. Additionally, it will revitalise existing Durable Water Repellency (DWR) and revive breathability. It is the safe way to thoroughly clean your waterproof clothing and equipment.
Application in a washing machine is quick, easy, and ensures that the whole garment is thoroughly cleaned.


Physician Reimbursement After the SGR Repeal
For years, physicians grumbled about the sustainable growth rate (SGR) formula used to calculate reimbursements. In April 2015, the SGR was replaced by the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015, averting a projected 21.2% physician pay cut.
Going Forward
Instead of the previous SGR formula based on the Medicare Physician Fee Schedule, beginning in the second half of 2015 physician payment rates will be updated 0.5% annually. This will continue for five years, through 2019. At that point, payment rates will be frozen for the next five years, from 2020 to 2025. In 2026, the rates will be updated either by 0.25% annually for providers participating in the Merit-Based Incentive Payment System (MIPS) or by 0.75% annually for providers participating in the Alternative Payment Models (APMs).
The SGR replacement law introduces two value-based payment tracks for physicians. Providers must choose one or the other. The MIPS program combines and replaces three current fee-for-service pay-for-performance initiatives:
1. The Physician Quality Reporting System (PQRS),
2. EHR Incentive Program, and 3. Physician Value-Based Modifier.
Starting in 2019, there will be only a single MIPS adjustment to physician payments.
4 Measurement Categories
The overall MIPS score will be a weighted result of four measurement categories:
1. Quality metrics will account for 50% of the total adjustment in 2019 before shrinking to 30% by 2021.
2. Resource use determines 10% of the adjustment in 2019 and then rises to 30% in 2021. 3. Clinical improvement will affect 15% of the total adjustment. 4. EHR use will influence another 25%.
The range of potential MIPS payment adjustments grows each year through 2022. In 2019, physicians could see adjustments ranging from -4% to +12%. By 2022, the possibilities expand to -9% and +27%.
Alternative Payment Models
The MACRA law allows providers participating in "Alternative Payment Models" (APMs) to opt out of MIPS. To qualify as an APM participant, physicians must satisfy increasing thresholds for the percentage of the revenue they receive through qualifying APMs.
During 2019 to 2020, at least 25% of Medicare revenue must be received through APMs. By 2021–2022, 50% of Medicare revenue, or 50% of all-payer revenue along with 25% of Medicare revenue, must be received through APMs. From 2023 and thereafter, APMs must be the source of 75% of Medicare revenue, or 75% of all-payer revenue along with 25% of Medicare revenue.
The financial incentive for taking on these revenue thresholds is an annual 5% lump sum bonus on physician fee schedule payments, available from 2019 to 2024.
Be in the Know
With all of the upheaval due to the MACRA law, it's critical that you work with your health care financial advisor.
Please contact Deirdre Hartmann, CPA or Harlene Stevens, CPA on (973) 328-1825 for additional information or to discuss further.


Jewish Studies and the Jewish Federation of Greater Charlotte are thrilled to present “Together and Apart: The Future of Jewish Peoplehood.” This a 12-Week Course on Wednesdays, 12:30 to 2:00 pm, from January 12
through May 4. (There will be no class March 9, March 16 and April 13 due to the various school spring vacations.) Rabbi Judy Schindler, Sklut Professor of Jewish Studies at Queens University, and Tair Giudice, an Israeli American with more than a decade of experience in Jewish communal leadership and Jewish education with the Jewish Federation of Greater Charlotte, will co-lead this class. This course will be offered through the Zoom format.
We will explore Jewish peoplehood utilizing a first-rate curriculum from the Shalom Hartman Institute (an exceptional center of Jewish pluralism and learning). Today we face new challenges to our unity, including nationalism, antisemitism, dual loyalty, and identity politics. Through video lectures and interviews, textual sources and a leader’s guide, we will consider what it means to be a member of the Jewish people, the core values that animate Jewish peoplehood, and the contemporary challenges to Jewish unity. The curriculum examines the forces dividing the Jewish people today and imagines new conceptual frameworks that can help sustain and grow the story of our people for a new millennium.
Unit 1: From No Home to Two Homes – The Jewish people have moved in less than a century from a people with a consciousness of having no home to a people that have two homes — in Israel and in North America. This introductory unit examines the stories we have told about ourselves throughout history, and asks whether we need a new grand narrative, a new meta-story, of Jewish peoplehood today?
Unit 2: The Judaism of Being – This unit explores one feature of the Jewish story, the Covenant of Being, in which Jews are defined by who we are, and not by what we do. This unit explores the advantages, obligations, and risks associated with this dimension of Jewish identity, which is permanent and unconditional.
Unit 3: The Judaism of Becoming – In this session, we explore the other central feature of the Jewish story, the Covenant of Becoming, in which Jews are defined by what they do. In this mission-based, aspirational Jewishness, identity is shaped around shared beliefs and practices.
Unit 4: On Universalism and Particularism – This unit explores the relationship between the commitments of Jewish particularism and Jewish universalism, and how the dance between these ideas has characterized the development of modern Zionism and debates around Jewish peoplehood today.
Unit 5: Between Nationalism, Ultra-Nationalism, and Fascism – The debate around nationalism today will affect the viability of Jewish peoplehood and Jewish unity. This session will explore various definitions of nationalism and whether we can construct a positive Jewish articulation of nationalism constructed around the value of “encumberedness.”
Unit 6: The Moral Implications of Jewish Nationalism – This unit continues the exploration of nationalism with a focus on the moral consequences of nationalism. What can constitute moral foundations for nationalism in general and Jewish nationalism in particular?
Unit 7: The Israeli Nation-State Law – Much of the recent debate around Israeli nationalism has focused on the Nation-State Law. This session explores two differing perspectives on the law: one denouncing its moral failings and one embracing its significance for the future of Israel as a Jewish democratic state.
Unit 8: Antisemitism as a Divisive Force – This unit explores the challenges to Jewish peoplehood posed by the current internal Jewish debate around antisemitism. The goal of this session is to understand the causes and underpinnings of a new reality in which antisemitism, for the first time in millennia, has become a dividing force rather than a unifying force for the Jewish people.
Unit 9: Antisemitism and Anti-Zionism – This unit delves more deeply into the meaning and definition of antisemitism and the relationship between antisemitism and anti-Zionism. We will analyze the differences between the manifestations of antisemitism from the far-Left to the far-Right and examine how a commitment to Jewish peoplehood impacts our discourse on this issue.
Unit 10: The Accusation and Dilemma of Dual Loyalties – This unit explores the notion of dual loyalty and its impact on Jewish peoplehood. Does a commitment to Jewish peoplehood demand dual loyalty, and does dual loyalty connote conflicting loyalty? Can Israel and World Jewry maintain a sense of togetherness while fully aware of the loyalty demands of a people, each in their own distinct home?
Unit 11 “What’s Good for the Jews?” Identity Politics in North America – This unit explores the ways in which the current discourse around identity politics poses new challenges to Jewish peoplehood and a relationship with Israel. We will study the divergent historical strategies within the American Jewish community to advocate for Jewish interests in order to understand how these different strategies relate to debates today within the American Jewish community and between Israel and American Jewry.
Unit 12 – Peoplehood – This unit introduces five categories which shape the narrative of Jewish peoplehood: 1)family, 2) shared believers, 3) partners, 4) investors, 5) consumers. The unit then focuses on the categories of family and consumers and how a synergy between the two can strengthen the relationship between Israel and North American Jewry.
Unit 13 Shared Believers, Partners, and Investors – This session focuses on the other three models within our matrix that shape and define the nature of Jewish Peoplehood and the relationship between Israel and World Jewry: shared believers, partners, and investors. We will explore each of these conceptual categories to see if they can be helpful foundations for Jewish collective life today.
Unit 14 At-Homeness – The Jewish people throughout history have always struggled with the tension of being “Together and apart.” However, the dual reality of at-homeness in North America and Israel poses new challenges to our sense of togetherness today. This concluding session reflects on both the Israeli and North American perspectives on how the Jewish people can envision and take responsibility for a future together.
Cost for this extended class with two instructors is $325 and includes an online coursebook with primary sources relevant to each lecture as well as background reading. Proceeds support Jewish Life at Queens University of Charlotte. Space is limited. We do not want cost to be a barrier. For more information or for financial assistance contact Talia Goldman, goldmant@queens.edu.
Image by Emily Orland